Towards evidence-informed sports safety policy for New South Wales, Australia : Assessing the readiness of the sector
- Poulos, Roslyn, Donaldson, Alex, Finch, Caroline
- Authors: Poulos, Roslyn , Donaldson, Alex , Finch, Caroline
- Date: 2010
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 16, no. 2 (2010), p. 127-131
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text:
- Reviewed:
- Authors: Poulos, Roslyn , Donaldson, Alex , Finch, Caroline
- Date: 2010
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 16, no. 2 (2010), p. 127-131
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text:
- Reviewed:
GP and nurses' perceptions of how after hours care for people receiving palliative care at home could be improved : A mixed methods study
- Tan, Heather, O'Connor, Margaret, Miles, Gail, Klein, Britt, Schattner, Peter
- Authors: Tan, Heather , O'Connor, Margaret , Miles, Gail , Klein, Britt , Schattner, Peter
- Date: 2009
- Type: Text , Journal article
- Relation: BMC Palliative Care Vol. 8, no. (2009), p. 13
- Full Text:
- Reviewed:
- Description: BACKGROUND: Primary health care providers play a dominant role in the provision of palliative care (PC) in Australia but many gaps in after hours service remain. In some rural areas only 19% of people receiving palliative care achieve their goal of dying at home. This study, which builds on an earlier qualitative phase of the project, investigates the gaps in care from the perspective of general practitioners (GPs) and PC nurses. METHODS: Questionnaires, developed from the outcomes of the earlier phase, and containing both structured and open ended questions, were distributed through Divisions of General Practice (1 urban, 1 rural, 1 mixed) to GPs (n = 524) and through a special interest group to palliative care nurses (n = 122) in both rural and urban areas. RESULTS: Questionnaires were returned by 114 GPs (22%) and 52 nurses (43%). The majority of GPs were associated with a practice which provided some after hours services but PC was not a strong focus for most. This was reflected in low levels of PC training, limited awareness of the existence of after hours triage services in their area, and of the availability of Enhanced Primary Care (EPC) Medicare items for care planning for palliative patients. However, more than half of both nurses and GPs were aware of accessible PC resources.Factors such as poor communication and limited availability of after hours services were identified the as most likely to impact negatively on service provision. Strategies considered most likely to improve after hours services were individual patient protocols, palliative care trained respite carers and regular multidisciplinary meetings that included the GP. CONCLUSION: While some of the identified gaps can only be met by long term funding and policy change, educational tools for use in training programs in PC for health professionals, which focus on the utilisation of EPC Medicare items in palliative care planning, the development of advance care plans and good communication between members of multidisciplinary teams, which include the GP, may enhance after hours service provision for patients receiving palliative care at home. The role of locums in after PC is an area for further research.
- Authors: Tan, Heather , O'Connor, Margaret , Miles, Gail , Klein, Britt , Schattner, Peter
- Date: 2009
- Type: Text , Journal article
- Relation: BMC Palliative Care Vol. 8, no. (2009), p. 13
- Full Text:
- Reviewed:
- Description: BACKGROUND: Primary health care providers play a dominant role in the provision of palliative care (PC) in Australia but many gaps in after hours service remain. In some rural areas only 19% of people receiving palliative care achieve their goal of dying at home. This study, which builds on an earlier qualitative phase of the project, investigates the gaps in care from the perspective of general practitioners (GPs) and PC nurses. METHODS: Questionnaires, developed from the outcomes of the earlier phase, and containing both structured and open ended questions, were distributed through Divisions of General Practice (1 urban, 1 rural, 1 mixed) to GPs (n = 524) and through a special interest group to palliative care nurses (n = 122) in both rural and urban areas. RESULTS: Questionnaires were returned by 114 GPs (22%) and 52 nurses (43%). The majority of GPs were associated with a practice which provided some after hours services but PC was not a strong focus for most. This was reflected in low levels of PC training, limited awareness of the existence of after hours triage services in their area, and of the availability of Enhanced Primary Care (EPC) Medicare items for care planning for palliative patients. However, more than half of both nurses and GPs were aware of accessible PC resources.Factors such as poor communication and limited availability of after hours services were identified the as most likely to impact negatively on service provision. Strategies considered most likely to improve after hours services were individual patient protocols, palliative care trained respite carers and regular multidisciplinary meetings that included the GP. CONCLUSION: While some of the identified gaps can only be met by long term funding and policy change, educational tools for use in training programs in PC for health professionals, which focus on the utilisation of EPC Medicare items in palliative care planning, the development of advance care plans and good communication between members of multidisciplinary teams, which include the GP, may enhance after hours service provision for patients receiving palliative care at home. The role of locums in after PC is an area for further research.
Parent/caregiver supervision and child injury : A systematic review of critical dimensions for understanding this relationship
- Petrass, Lauren, Blitvich, Jennifer, Finch, Caroline
- Authors: Petrass, Lauren , Blitvich, Jennifer , Finch, Caroline
- Date: 2009
- Type: Text , Journal article
- Relation: Family & Community Health Vol. 33, no. 2 (Apr-Jun 2009), p. 123-135
- Full Text:
- Reviewed:
- Description: This study reviewed the relationship between recognized dimensions of supervision and children's injuries based on Saluja et al's (Injury Control and Safety Promotion. 2004; 11: 17-22) hierarchal model of supervision strategies. A systematic review of peer-review studies was clone with the earliest records available to 2007. There were 112 potentially relevant articles identified; 31 studies met all inclusion criteria. Reported Studies were categorized according to the dimensions Of supervision they addressed. Studies were not evenly distributed across the dimensions. There was evidence from the Study that directly linking dimensions of supervision to child injury risk and outcomes is scarce. future studies should consider attention, proximity, and continuity Of supervision to provide a holistic understanding of the relationship between Supervision and injury
- Description: 2003008201
- Authors: Petrass, Lauren , Blitvich, Jennifer , Finch, Caroline
- Date: 2009
- Type: Text , Journal article
- Relation: Family & Community Health Vol. 33, no. 2 (Apr-Jun 2009), p. 123-135
- Full Text:
- Reviewed:
- Description: This study reviewed the relationship between recognized dimensions of supervision and children's injuries based on Saluja et al's (Injury Control and Safety Promotion. 2004; 11: 17-22) hierarchal model of supervision strategies. A systematic review of peer-review studies was clone with the earliest records available to 2007. There were 112 potentially relevant articles identified; 31 studies met all inclusion criteria. Reported Studies were categorized according to the dimensions Of supervision they addressed. Studies were not evenly distributed across the dimensions. There was evidence from the Study that directly linking dimensions of supervision to child injury risk and outcomes is scarce. future studies should consider attention, proximity, and continuity Of supervision to provide a holistic understanding of the relationship between Supervision and injury
- Description: 2003008201
Age-specific parental knowledge of restraint transitions influences appropriateness of child occupant restraint use
- Bilston, Lynne, Finch, Caroline, Hatfield, Julie, Brown, Jill
- Authors: Bilston, Lynne , Finch, Caroline , Hatfield, Julie , Brown, Jill
- Date: 2008
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 14, no. 3 (2008), p. 159-163
- Full Text:
- Reviewed:
- Description: Objective: To determine the factors that influence appropriate restraint usage by child occupants across the age range for which any type of child restraint may be appropriate (0-10 years). Design: Randomized household telephone survey. Setting: Statewide survey, New South Wales, Australia. Subjects: Parents or carers of children aged 0-10 years. Main outcome measures: Parental reporting of appropriateness of child restraint. Methods: Demographic information and data on age, size, restraint practices, parental knowledge of child occupant safety, and attitude to restraint use was collected using a structured interview. Data were analysed using logistic regression after cluster adjustment. Results: Inappropriate restraint use by children was widespread, particularly in children aged 2+ years. Overall, parental knowledge of appropriate ages for restraint transitions was associated with increased likelihood of appropriate restraint use. Lower levels of formal parental education, larger families, parental restraint non-use, and parent/child negotiability of restraint use were predictors of inappropriate restraint use. For particular child age subgroups, the parental knowledge that predicted appropriate restraint use was specific to that age group. Most parents felt that they knew enough to safely restrain their child, despite widespread inappropriate restraint use. Conclusions: Parents are more likely to make appropriate restraint choices for their children if they possess restraint knowledge specific to their children's age and size. Educational campaigns may be most effective when they provide information for specific ages and transition points. Strategies to overcome parents' misplaced confidence that they know enough to restrain their children safely are also indicated.
- Description: C1
- Authors: Bilston, Lynne , Finch, Caroline , Hatfield, Julie , Brown, Jill
- Date: 2008
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 14, no. 3 (2008), p. 159-163
- Full Text:
- Reviewed:
- Description: Objective: To determine the factors that influence appropriate restraint usage by child occupants across the age range for which any type of child restraint may be appropriate (0-10 years). Design: Randomized household telephone survey. Setting: Statewide survey, New South Wales, Australia. Subjects: Parents or carers of children aged 0-10 years. Main outcome measures: Parental reporting of appropriateness of child restraint. Methods: Demographic information and data on age, size, restraint practices, parental knowledge of child occupant safety, and attitude to restraint use was collected using a structured interview. Data were analysed using logistic regression after cluster adjustment. Results: Inappropriate restraint use by children was widespread, particularly in children aged 2+ years. Overall, parental knowledge of appropriate ages for restraint transitions was associated with increased likelihood of appropriate restraint use. Lower levels of formal parental education, larger families, parental restraint non-use, and parent/child negotiability of restraint use were predictors of inappropriate restraint use. For particular child age subgroups, the parental knowledge that predicted appropriate restraint use was specific to that age group. Most parents felt that they knew enough to safely restrain their child, despite widespread inappropriate restraint use. Conclusions: Parents are more likely to make appropriate restraint choices for their children if they possess restraint knowledge specific to their children's age and size. Educational campaigns may be most effective when they provide information for specific ages and transition points. Strategies to overcome parents' misplaced confidence that they know enough to restrain their children safely are also indicated.
- Description: C1
Comparison of methods to correct the miscounting of multiple episodes of care when estimating the incidence of hospitalised injury in child motor vehicle passengers
- Du, Wei, Hayen, Andrew, Finch, Caroline, Hatfield, Julie
- Authors: Du, Wei , Hayen, Andrew , Finch, Caroline , Hatfield, Julie
- Date: 2008
- Type: Text , Journal article
- Relation: Accident Analysis and Prevention Vol. 40, no. 4 (2008), p. 1563-1568
- Full Text:
- Reviewed:
- Description: This study evaluates the performance of different case selection criteria to account for multiple episodes of care when estimating the hospitalisation rate due to road trauma amongst children. The internally linked NSW Inpatient Statistics Collection (ISC) dataset for the period between 1st July, 2000 and 30th June, 2003 was used to identify the "single" episode of care for each hospitalised child motor vehicle passenger residing in NSW. We used two hospitalised injury definitions of a case based on (1) all-diagnoses and (2) principal diagnosis only. We then developed case selection criteria, based on (a) linkage methods only available from linked ISC datasets; (b) selected variables available in both the linked and unlinked ISC datasets, to exclude repeat episodes of care for an injury. Changes in the estimated hospitalisation rate, and sensitivity and specificity, were calculated for each selection criteria compared to the findings from linkage methods as the "gold standard". None of the correction methods for multiple episodes of care was clearly superior in terms of incidence estimation, sensitivity, and specificity concurrently. However, the correction criterion which is optimal may vary depending on different study objectives and different types of hospitalised injuries. © 2008 Elsevier Ltd. All rights reserved.
- Authors: Du, Wei , Hayen, Andrew , Finch, Caroline , Hatfield, Julie
- Date: 2008
- Type: Text , Journal article
- Relation: Accident Analysis and Prevention Vol. 40, no. 4 (2008), p. 1563-1568
- Full Text:
- Reviewed:
- Description: This study evaluates the performance of different case selection criteria to account for multiple episodes of care when estimating the hospitalisation rate due to road trauma amongst children. The internally linked NSW Inpatient Statistics Collection (ISC) dataset for the period between 1st July, 2000 and 30th June, 2003 was used to identify the "single" episode of care for each hospitalised child motor vehicle passenger residing in NSW. We used two hospitalised injury definitions of a case based on (1) all-diagnoses and (2) principal diagnosis only. We then developed case selection criteria, based on (a) linkage methods only available from linked ISC datasets; (b) selected variables available in both the linked and unlinked ISC datasets, to exclude repeat episodes of care for an injury. Changes in the estimated hospitalisation rate, and sensitivity and specificity, were calculated for each selection criteria compared to the findings from linkage methods as the "gold standard". None of the correction methods for multiple episodes of care was clearly superior in terms of incidence estimation, sensitivity, and specificity concurrently. However, the correction criterion which is optimal may vary depending on different study objectives and different types of hospitalised injuries. © 2008 Elsevier Ltd. All rights reserved.
Social geography and rural mental health research
- Authors: Boyd, Candice , Parr, H
- Date: 2008
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 8, no. (2008), p. 1-5
- Full Text:
- Reviewed:
- Description: C1
- Authors: Boyd, Candice , Parr, H
- Date: 2008
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 8, no. (2008), p. 1-5
- Full Text:
- Reviewed:
- Description: C1
The impact of environmental, vehicle and driver characteristics on injury severity in older drivers hospitalized as a result of a traffic crash
- Boufous, Soufiane, Finch, Caroline, Hayen, Andrew, Williamson, Ann
- Authors: Boufous, Soufiane , Finch, Caroline , Hayen, Andrew , Williamson, Ann
- Date: 2008
- Type: Text , Journal article
- Relation: Journal of Safety Research Vol. 39, no. 1 (2008), p. 65-72
- Full Text:
- Reviewed:
- Description: Introduction: Compared to younger age groups, older people are more likely to be seriously injured or to die as a result of a traffic crash. Method: The aim of the study is to examine the impact of environmental, vehicle, crash, and driver characteristics on injury severity in older drivers involved in traffic crashes by using recently linked police crash records and hospitalization data from New South Wales, Australia. The severity of injury resulting from traffic crashes was measured using the International Classification of Diseases, 10th revision (ICD-10) Injury Severity Score (ICISS). Results: Multivariate analysis identified rurality, presence of complex intersections, road speed limit, driver error, speeding, and seat belt use as independent predictors of injury severity in older people. The type of intersection configuration explained over half of the observed variations in injury severity. Impact on Industry: Environmental modification such as intersection treatments might contribute to a decrease in the severity of injury in older people involved in road crashes.
- Description: 2003006544
- Authors: Boufous, Soufiane , Finch, Caroline , Hayen, Andrew , Williamson, Ann
- Date: 2008
- Type: Text , Journal article
- Relation: Journal of Safety Research Vol. 39, no. 1 (2008), p. 65-72
- Full Text:
- Reviewed:
- Description: Introduction: Compared to younger age groups, older people are more likely to be seriously injured or to die as a result of a traffic crash. Method: The aim of the study is to examine the impact of environmental, vehicle, crash, and driver characteristics on injury severity in older drivers involved in traffic crashes by using recently linked police crash records and hospitalization data from New South Wales, Australia. The severity of injury resulting from traffic crashes was measured using the International Classification of Diseases, 10th revision (ICD-10) Injury Severity Score (ICISS). Results: Multivariate analysis identified rurality, presence of complex intersections, road speed limit, driver error, speeding, and seat belt use as independent predictors of injury severity in older people. The type of intersection configuration explained over half of the observed variations in injury severity. Impact on Industry: Environmental modification such as intersection treatments might contribute to a decrease in the severity of injury in older people involved in road crashes.
- Description: 2003006544
Australian rural adolescents’ experiences of accessing psychological help for a mental health problem
- Boyd, Candice, Francis, Kristy, Aisbett, Damon, Newnham, Krystal, Sewell, Jessica, Dawes, Graham, Nurse, Sarah
- Authors: Boyd, Candice , Francis, Kristy , Aisbett, Damon , Newnham, Krystal , Sewell, Jessica , Dawes, Graham , Nurse, Sarah
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 15, no. (2007), p. 196-200
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- Reviewed:
- Description: Objective: This study aims to explore Australian rural adolescents’ experiences of accessing help for a mental health problem in the context of their rural communities. Design and setting: A qualitative research design was used whereby university students who had sought help for a mental health problem during their adolescence were interviewed about their experiences. Interviews were conducted face-to-face at the university. Main outcome measures: A semi-structured interview schedule was designed around the study’s main research questions. Audio-taped interviews were transcribed and thematically coded using a constant comparative method. Participants: Participants were first-year undergraduate psychology students between the ages of 17 and 21 years who sought help for a mental health issue during their adolescence and who at that time resided in a rural area. Results: Participants highlighted various barriers to seeking help for mental health problems in the context of a rural community, including: social visibility, lack of anonymity, a culture of self-reliance, and social stigma of mental illness. Participants’ access to help was primarily school-based, and participants expressed a preference for supportive counselling over structured interventions. Characteristics of school-based helpers that made them approachable included: ‘caring’, ‘nonjudgemental’, ‘genuine’, ‘young’, and able to maintain confidentiality. Conclusions: The findings support previous research that reveals barriers to help seeking for mental health problems that are unique to the culture of rural communities. The study raises questions about the merit of delivery of primary mental health care to young people via GPs alone and suggests that school-based counsellors be considered as the first step in a young person’s access to mental health care.
- Description: C1
- Description: 2003005807
- Authors: Boyd, Candice , Francis, Kristy , Aisbett, Damon , Newnham, Krystal , Sewell, Jessica , Dawes, Graham , Nurse, Sarah
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 15, no. (2007), p. 196-200
- Full Text:
- Reviewed:
- Description: Objective: This study aims to explore Australian rural adolescents’ experiences of accessing help for a mental health problem in the context of their rural communities. Design and setting: A qualitative research design was used whereby university students who had sought help for a mental health problem during their adolescence were interviewed about their experiences. Interviews were conducted face-to-face at the university. Main outcome measures: A semi-structured interview schedule was designed around the study’s main research questions. Audio-taped interviews were transcribed and thematically coded using a constant comparative method. Participants: Participants were first-year undergraduate psychology students between the ages of 17 and 21 years who sought help for a mental health issue during their adolescence and who at that time resided in a rural area. Results: Participants highlighted various barriers to seeking help for mental health problems in the context of a rural community, including: social visibility, lack of anonymity, a culture of self-reliance, and social stigma of mental illness. Participants’ access to help was primarily school-based, and participants expressed a preference for supportive counselling over structured interventions. Characteristics of school-based helpers that made them approachable included: ‘caring’, ‘nonjudgemental’, ‘genuine’, ‘young’, and able to maintain confidentiality. Conclusions: The findings support previous research that reveals barriers to help seeking for mental health problems that are unique to the culture of rural communities. The study raises questions about the merit of delivery of primary mental health care to young people via GPs alone and suggests that school-based counsellors be considered as the first step in a young person’s access to mental health care.
- Description: C1
- Description: 2003005807
Safety in the Victorian thoroughbred horseracing industry
- Cowley, Stephen, Bowman, Bindi, Lawrance, Michael
- Authors: Cowley, Stephen , Bowman, Bindi , Lawrance, Michael
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 23, no. 5 (2007), p. 421-431
- Full Text:
- Reviewed:
- Description: Employees in the Victorian thoroughbred horseracing industry who work closely with horses are exposed to a significant risk of traumatic injury. Although jockeys are the main focus of attention in this industry sector and in the literature, a large number of injuries are sustained by track riders and stable attendants. Exploratory research into the nature of the injury problem was undertaken and it was found that there is a culture in the Victorian thoroughbred horseracing sector that leads to a greater focus on horses and their performance rather than on the health, safety and wellbeing of employees. Workers are exposed to a significant risk of injury as a result of shortcomings with regard to OHS management, the work environment, equipment, rules and procedures, and training and education. There appears to be little understanding of the mutual responsibilities at shared workplaces and a low level of responsiveness by those in a position to control hazards at training tracks and racetracks.
- Description: C1
- Authors: Cowley, Stephen , Bowman, Bindi , Lawrance, Michael
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 23, no. 5 (2007), p. 421-431
- Full Text:
- Reviewed:
- Description: Employees in the Victorian thoroughbred horseracing industry who work closely with horses are exposed to a significant risk of traumatic injury. Although jockeys are the main focus of attention in this industry sector and in the literature, a large number of injuries are sustained by track riders and stable attendants. Exploratory research into the nature of the injury problem was undertaken and it was found that there is a culture in the Victorian thoroughbred horseracing sector that leads to a greater focus on horses and their performance rather than on the health, safety and wellbeing of employees. Workers are exposed to a significant risk of injury as a result of shortcomings with regard to OHS management, the work environment, equipment, rules and procedures, and training and education. There appears to be little understanding of the mutual responsibilities at shared workplaces and a low level of responsiveness by those in a position to control hazards at training tracks and racetracks.
- Description: C1
The invisible contract: Shifting care from the hospital to the home
- Authors: Dow, Briony , McDonald, John
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Health Review Vol. 31, no. 2 (May 2007), p. 193-202
- Full Text:
- Reviewed:
- Description: The ageing population and associated burgeoning health care costs have resulted in a shift of care from institutional settings to home and community-based care. As one example, rehabilitation-in-the-home (RITH) programs are becoming increasingly prevalent. These programs either substitute or supplement in-hospital treatment by providing multidisciplinary rehabilitation and support services in the client's own home. This paper investigates the impact of RITH programs on informal carers. Semi-structured interviews carried out with caregivers and staff revealed a complex and contradictory interpretation of informal caring. Analysis of carers' interviews revealed: an assumption by themselves and others (including RITH staff) that they would provide care; the intimate, arduous and relentless work of caring; lack of consultation about discharge; lack of recognition and reimbursement; and low levels of program support for them as carers. Carers are integral to the successful rehabilitation of the client, but they occupy a marginal status within the program. An invisible contract consigns to them substantial care-work that was previously provided by the hospital. Informal carers in RITH programs can be seen as disenfranchised care contractors. This has implications for policy makers, program managers and researchers.
- Description: C1
- Description: 2003005828
- Authors: Dow, Briony , McDonald, John
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Health Review Vol. 31, no. 2 (May 2007), p. 193-202
- Full Text:
- Reviewed:
- Description: The ageing population and associated burgeoning health care costs have resulted in a shift of care from institutional settings to home and community-based care. As one example, rehabilitation-in-the-home (RITH) programs are becoming increasingly prevalent. These programs either substitute or supplement in-hospital treatment by providing multidisciplinary rehabilitation and support services in the client's own home. This paper investigates the impact of RITH programs on informal carers. Semi-structured interviews carried out with caregivers and staff revealed a complex and contradictory interpretation of informal caring. Analysis of carers' interviews revealed: an assumption by themselves and others (including RITH staff) that they would provide care; the intimate, arduous and relentless work of caring; lack of consultation about discharge; lack of recognition and reimbursement; and low levels of program support for them as carers. Carers are integral to the successful rehabilitation of the client, but they occupy a marginal status within the program. An invisible contract consigns to them substantial care-work that was previously provided by the hospital. Informal carers in RITH programs can be seen as disenfranchised care contractors. This has implications for policy makers, program managers and researchers.
- Description: C1
- Description: 2003005828
Understanding barriers to mental health service utilization for adolescents in rural Australia
- Aisbett, Damon, Boyd, Candice, Francis, Kristy, Newnham, Krystal, Newnham, Karyn
- Authors: Aisbett, Damon , Boyd, Candice , Francis, Kristy , Newnham, Krystal , Newnham, Karyn
- Date: 2007
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 7, no. (2007), p. 1-10
- Full Text:
- Reviewed:
- Description: INTRODUCTION: There is a general paucity of research in the area of rural adolescent mental health in Australia, and in particular a lack of data regarding the experiences of rural adolescents who seek help for mental health problems. This study used a qualitative approach to data collection and analysis in order to assist understanding of the barriers to mental health service utilization for young people in rural communities. METHOD: A series of interviews were conducted with each of the study's participants, who ranged in age from 15 to 17 years. All participants were clients of the Child and Adolescent Mental Health Services in the rural cities of Horsham and Ararat, Victoria, Australia. RESULTS: Participants described how the lack of reliable transport to and from the mental health service affected the utilization of the service by rural young people. They also expressed concern regarding a lack of qualified professionals in their region who specialize in child and adolescent mental health. Participants reported frustration at long waiting lists and the lack of an after-hours service. One participant shared her experiences of deliberate self-harm to in order to gain access. Results also revealed that rural gossip networks and social visibility within rural communities compounded the experience of stigma and social exclusion for these young people. Furthermore, participants explained how these experiences negatively impacted on their utilization of the mental health service and their progress towards recovery. CONCLUSIONS: There are several barriers to mental health service utilization for rural adolescents which affect both their decision to access help as well as their ability to engage effectively with mental health services over time. Clinicians who work with rural adolescents need to be mindful of the influence of rural culture on mental health service utilization by young people. The co-location of mental health services and general health services is suggested as one way to reduce the fear associated with 'being seen' entering a stand-alone mental health service. It is suggested that treatment programs for adolescents in rural areas address the different types of stigma that these young people are likely to encounter. Furthermore, community and school-based interventions aimed at reducing the social stigma of young people with mental illness in rural areas is recommended.
- Description: C1
- Description: 2003005804
- Authors: Aisbett, Damon , Boyd, Candice , Francis, Kristy , Newnham, Krystal , Newnham, Karyn
- Date: 2007
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 7, no. (2007), p. 1-10
- Full Text:
- Reviewed:
- Description: INTRODUCTION: There is a general paucity of research in the area of rural adolescent mental health in Australia, and in particular a lack of data regarding the experiences of rural adolescents who seek help for mental health problems. This study used a qualitative approach to data collection and analysis in order to assist understanding of the barriers to mental health service utilization for young people in rural communities. METHOD: A series of interviews were conducted with each of the study's participants, who ranged in age from 15 to 17 years. All participants were clients of the Child and Adolescent Mental Health Services in the rural cities of Horsham and Ararat, Victoria, Australia. RESULTS: Participants described how the lack of reliable transport to and from the mental health service affected the utilization of the service by rural young people. They also expressed concern regarding a lack of qualified professionals in their region who specialize in child and adolescent mental health. Participants reported frustration at long waiting lists and the lack of an after-hours service. One participant shared her experiences of deliberate self-harm to in order to gain access. Results also revealed that rural gossip networks and social visibility within rural communities compounded the experience of stigma and social exclusion for these young people. Furthermore, participants explained how these experiences negatively impacted on their utilization of the mental health service and their progress towards recovery. CONCLUSIONS: There are several barriers to mental health service utilization for rural adolescents which affect both their decision to access help as well as their ability to engage effectively with mental health services over time. Clinicians who work with rural adolescents need to be mindful of the influence of rural culture on mental health service utilization by young people. The co-location of mental health services and general health services is suggested as one way to reduce the fear associated with 'being seen' entering a stand-alone mental health service. It is suggested that treatment programs for adolescents in rural areas address the different types of stigma that these young people are likely to encounter. Furthermore, community and school-based interventions aimed at reducing the social stigma of young people with mental illness in rural areas is recommended.
- Description: C1
- Description: 2003005804
Dimensions of pastoral care: Student wellbeing in rural Catholic schools
- Ollerenshaw, Alison, McDonald, John
- Authors: Ollerenshaw, Alison , McDonald, John
- Date: 2006
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 12, no. 2 (2006), p. 137-145
- Full Text:
- Reviewed:
- Description: This paper investigates the health and welfare needs of students (n = 15,806) and the current service model in Catholic schools in the Ballarat Diocese of Victoria, Australia. Catholic schools use a service model underpinned by an ethos of pastoral care; there is a strong tradition of self-reliance within the Catholic education system for meeting students' health and welfare needs. The central research questions are: What are the emerging health and welfare needs of students? How does pastoral care shape the service model to meet these needs? What model/s might better meet students' primary health care needs? The research methods involved analysis of(1) extant databases of expressed service needs including referrals (n = 1,248) to Student Services over the last 2.5 years, (2) trends in the additional funding support such as special needs funding for students and the Education Maintenance Allowance for families, and (3) semi-structured individual and group interviews with 98 Diocesan and school staff responsible for meeting students' health and welfare needs. Analysis of expressed service needs revealed a marked increase in service demand, and in the complexity and severity of students' needs. Thematic analysis of qualitative interview data revealed five pressing issues: the health and welfare needs of students; stressors in the school community; rural isolation; role boundaries and individualised interventions; and self-reliant networks of care. Explanations for many of these problems can be located in wider social and economic forces impacting upon the church and rural communities. It was concluded that the pastoral care model-as it is currently configured-is not equipped to meet the escalating primary health care needs of students in rural areas. This paper considers the implications for enhanced primary health care in both rural communities and in schools.
- Description: C1
- Description: 2003001995
- Authors: Ollerenshaw, Alison , McDonald, John
- Date: 2006
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 12, no. 2 (2006), p. 137-145
- Full Text:
- Reviewed:
- Description: This paper investigates the health and welfare needs of students (n = 15,806) and the current service model in Catholic schools in the Ballarat Diocese of Victoria, Australia. Catholic schools use a service model underpinned by an ethos of pastoral care; there is a strong tradition of self-reliance within the Catholic education system for meeting students' health and welfare needs. The central research questions are: What are the emerging health and welfare needs of students? How does pastoral care shape the service model to meet these needs? What model/s might better meet students' primary health care needs? The research methods involved analysis of(1) extant databases of expressed service needs including referrals (n = 1,248) to Student Services over the last 2.5 years, (2) trends in the additional funding support such as special needs funding for students and the Education Maintenance Allowance for families, and (3) semi-structured individual and group interviews with 98 Diocesan and school staff responsible for meeting students' health and welfare needs. Analysis of expressed service needs revealed a marked increase in service demand, and in the complexity and severity of students' needs. Thematic analysis of qualitative interview data revealed five pressing issues: the health and welfare needs of students; stressors in the school community; rural isolation; role boundaries and individualised interventions; and self-reliant networks of care. Explanations for many of these problems can be located in wider social and economic forces impacting upon the church and rural communities. It was concluded that the pastoral care model-as it is currently configured-is not equipped to meet the escalating primary health care needs of students in rural areas. This paper considers the implications for enhanced primary health care in both rural communities and in schools.
- Description: C1
- Description: 2003001995
Issues in rural adolescent mental health in Australia
- Boyd, Candice, Aisbett, Damon, Francis, Kristy, Kelly, Melinda, Newnham, Karyn, Newnham, Krystal
- Authors: Boyd, Candice , Aisbett, Damon , Francis, Kristy , Kelly, Melinda , Newnham, Karyn , Newnham, Krystal
- Date: 2006
- Type: Text , Journal article
- Relation: Rural and Remote health Vol. 6, no. 501 (2006), p. 1-9
- Full Text:
- Reviewed:
- Description: The mental health of adolescents living in rural Australia has received little research attention. In this article, the extant literature on rural adolescent mental health in Australia is reviewed. Given the lack of literature on this topic, the review is centered on a vignette presented at the beginning of the article. The case represented by the vignette is that of a young Australian growing up in a rural area. The issues raised – including the nature of mental health issues for rural adolescents and barriers to seeking professional help – are then discussed in terms of the available literature. The article concludes with a future focus for research efforts in the area of rural adolescent mental health.
- Description: C1
- Description: 2003001815
- Authors: Boyd, Candice , Aisbett, Damon , Francis, Kristy , Kelly, Melinda , Newnham, Karyn , Newnham, Krystal
- Date: 2006
- Type: Text , Journal article
- Relation: Rural and Remote health Vol. 6, no. 501 (2006), p. 1-9
- Full Text:
- Reviewed:
- Description: The mental health of adolescents living in rural Australia has received little research attention. In this article, the extant literature on rural adolescent mental health in Australia is reviewed. Given the lack of literature on this topic, the review is centered on a vignette presented at the beginning of the article. The case represented by the vignette is that of a young Australian growing up in a rural area. The issues raised – including the nature of mental health issues for rural adolescents and barriers to seeking professional help – are then discussed in terms of the available literature. The article concludes with a future focus for research efforts in the area of rural adolescent mental health.
- Description: C1
- Description: 2003001815
Promoting the psychosocial function of young adults through psychiatric residential rehabilitation: A qualitive evaluation of the making a significant change (MASC) program
- Kelly, Melinda, Boyd, Candice
- Authors: Kelly, Melinda , Boyd, Candice
- Date: 2006
- Type: Text , Journal article
- Relation: International Journal of Psychosocial Rehabilitation Vol. 10, no. 2 (2006), p. 139-153
- Full Text:
- Reviewed:
- Description: This research evaluated the Making a Significant Change (MASC) program - the only residential psychosocial rehabilitation program for young adults in the Grampians region of Victoria, Australia. The program provides intensive support and rehabilitation services to young people aged 16 to 24 years who have a mental illness and are at risk of developing further mental health disabilities. This evaluation aimed to establish a holistic view of the program with a focus on the process descriptive data for key stakeholders in the service so that the impact of intervention approaches could be gauged.
- Description: C1
- Description: 2003003401
- Authors: Kelly, Melinda , Boyd, Candice
- Date: 2006
- Type: Text , Journal article
- Relation: International Journal of Psychosocial Rehabilitation Vol. 10, no. 2 (2006), p. 139-153
- Full Text:
- Reviewed:
- Description: This research evaluated the Making a Significant Change (MASC) program - the only residential psychosocial rehabilitation program for young adults in the Grampians region of Victoria, Australia. The program provides intensive support and rehabilitation services to young people aged 16 to 24 years who have a mental illness and are at risk of developing further mental health disabilities. This evaluation aimed to establish a holistic view of the program with a focus on the process descriptive data for key stakeholders in the service so that the impact of intervention approaches could be gauged.
- Description: C1
- Description: 2003003401
Rural adolescents' attitudes to seeking help for mental health problems
- Francis, Kristy, Boyd, Candice, Aisbett, Damon, Newnham, Karyn, Newnham, Krystal
- Authors: Francis, Kristy , Boyd, Candice , Aisbett, Damon , Newnham, Karyn , Newnham, Krystal
- Date: 2006
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 25 , no. 4 (2006), p. 42-49
- Full Text:
- Reviewed:
- Description: Little research has been undertaken into the barriers facing rural adolescents seeking help and support for mental health problems. This study presented students from rural secondary schools in Victoria with hypothetical scenarios of an adolescent living in a rural area with a mental disorder and posed questions inorder to create group discussion. The results revealed a range of perceived barriers to help-seeking that could be considered unique to rural settings. However, adolescents also expressed positive attitudes and identified a range of professional help sources available to them. The findings support recent moves towards providing school-based mental health services to young people in rural areas.
- Description: C1
- Description: 2003001811
- Authors: Francis, Kristy , Boyd, Candice , Aisbett, Damon , Newnham, Karyn , Newnham, Krystal
- Date: 2006
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 25 , no. 4 (2006), p. 42-49
- Full Text:
- Reviewed:
- Description: Little research has been undertaken into the barriers facing rural adolescents seeking help and support for mental health problems. This study presented students from rural secondary schools in Victoria with hypothetical scenarios of an adolescent living in a rural area with a mental disorder and posed questions inorder to create group discussion. The results revealed a range of perceived barriers to help-seeking that could be considered unique to rural settings. However, adolescents also expressed positive attitudes and identified a range of professional help sources available to them. The findings support recent moves towards providing school-based mental health services to young people in rural areas.
- Description: C1
- Description: 2003001811
The interrelations between sexual orientation, sense of belonging and dysphoria among Australian women
- Authors: McLaren, Suzanne
- Date: 2006
- Type: Text , Journal article
- Relation: Women and Health Vol. 43, no. 3 (2006), p. 123-137
- Full Text:
- Reviewed:
- Description: This research examined whether sense of belonging in the community and sexual orientation were associated with dysphoria among women. Australian female heterosexuals (n = 202) and lesbians (n = 184) completed the Sense of Belonging Instrument and the Depression, Anxiety, Stress Scales. Results indicated that lesbians experienced a decreased sense of belonging and more dysphoria compared with heterosexual women. Subsequent analyses indicated that sense of belonging to the community mediated the relation between sexual orientation and dysphoria. In addition, sexual orientation moderated the relation between sense of belonging and dysphoria. It appears that the enhancement of lesbians' sense of belonging in the community would be associated with a reduction in dysphoria. Copyright © by The Haworth Press, Inc. All rights reserved.
- Description: C1
- Description: 2003001983
- Authors: McLaren, Suzanne
- Date: 2006
- Type: Text , Journal article
- Relation: Women and Health Vol. 43, no. 3 (2006), p. 123-137
- Full Text:
- Reviewed:
- Description: This research examined whether sense of belonging in the community and sexual orientation were associated with dysphoria among women. Australian female heterosexuals (n = 202) and lesbians (n = 184) completed the Sense of Belonging Instrument and the Depression, Anxiety, Stress Scales. Results indicated that lesbians experienced a decreased sense of belonging and more dysphoria compared with heterosexual women. Subsequent analyses indicated that sense of belonging to the community mediated the relation between sexual orientation and dysphoria. In addition, sexual orientation moderated the relation between sense of belonging and dysphoria. It appears that the enhancement of lesbians' sense of belonging in the community would be associated with a reduction in dysphoria. Copyright © by The Haworth Press, Inc. All rights reserved.
- Description: C1
- Description: 2003001983
Initial force and desirable handle height range when pushing a trolley
- Authors: Culvenor, John
- Date: 2005
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 21, no. 4 (2005), p. 341-349
- Full Text:
- Reviewed:
- Description: Trolleys are used in many workplaces, often as a solution to the hazards of lifting and carrying. Guidelines are available to set limits on the force that can be reasonably applied for push and pull activities in a workplace setting. With a level floor, low friction and short movements, the force applied for acceleration when pushing a trolley is more significant than the sustained effort (however, many factors interact with the force and these must be considered together). This study determined the initial force applied to trolleys in a manufacturing setting, with a level floor and low rolling friction. Subjects were asked to move trolleys (weighing between 160 kg and 400 kg) a short distance in the way that they would normally do the work. Results showed a preferred grip height of 120-135 cm. The average results for applied force fell closely along a linear relationship. Future research could be conducted in an experimental setting and include more comprehensive trials with a greater number of subjects (including women).
- Description: C1
- Description: 2003002990
- Authors: Culvenor, John
- Date: 2005
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 21, no. 4 (2005), p. 341-349
- Full Text:
- Reviewed:
- Description: Trolleys are used in many workplaces, often as a solution to the hazards of lifting and carrying. Guidelines are available to set limits on the force that can be reasonably applied for push and pull activities in a workplace setting. With a level floor, low friction and short movements, the force applied for acceleration when pushing a trolley is more significant than the sustained effort (however, many factors interact with the force and these must be considered together). This study determined the initial force applied to trolleys in a manufacturing setting, with a level floor and low rolling friction. Subjects were asked to move trolleys (weighing between 160 kg and 400 kg) a short distance in the way that they would normally do the work. Results showed a preferred grip height of 120-135 cm. The average results for applied force fell closely along a linear relationship. Future research could be conducted in an experimental setting and include more comprehensive trials with a greater number of subjects (including women).
- Description: C1
- Description: 2003002990
- Authors: Mills, Alice
- Date: 2005
- Type: Text , Journal article
- Relation: Academic Exchange Quarterly Vol. 10, no. 2 (2005), p. 1-3
- Full Text:
- Reviewed:
- Description: This is a look at the author Dante and how the writing may effect the reader.
- Description: C1
- Description: 2003001259
13 days and counting : A mutual support model for young, homeless women in crisis
- Green, Rosemary, Mason, Robyn, Ollerenshaw, Alison
- Authors: Green, Rosemary , Mason, Robyn , Ollerenshaw, Alison
- Date: 2004
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 23, no. 2 (2004), p. 46-50
- Full Text:
- Reviewed:
- Description: An innovative program in rural Victoria matches young homeless women with older homeless women and provides them with a range of support services.The result is more stability in the accommodation setting, mutual benefit and satisfaction for clients, and impressive rates of permanent housing outcomes.
- Description: C1
- Description: 2003000964
- Authors: Green, Rosemary , Mason, Robyn , Ollerenshaw, Alison
- Date: 2004
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 23, no. 2 (2004), p. 46-50
- Full Text:
- Reviewed:
- Description: An innovative program in rural Victoria matches young homeless women with older homeless women and provides them with a range of support services.The result is more stability in the accommodation setting, mutual benefit and satisfaction for clients, and impressive rates of permanent housing outcomes.
- Description: C1
- Description: 2003000964
A rural perspective of telephone counselling and referral
- Watson, Robert, McDonald, John
- Authors: Watson, Robert , McDonald, John
- Date: 2004
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 10, no. 2 (2004), p. 97-103
- Full Text:
- Reviewed:
- Description: A telephone survey was used to examine rural residents' (n=102) perceptions and knowledge of a well-established national telephone counselling and referral service-Lifeline. Residents in rural Australia experience generally poorer access and availability to health-related services than their metropolitan counterparts. They may also have problems with confidentiality and stigmatisation in using what services are available in their area. Although this was a non-comparative study, it was reasoned that these barriers to help-seeking in rural areas would mean their population would know and value a service such as Lifeline, which provides equitable and anonymous support and referrals to all Australians. The results showed that the service was known, valued, and supported strongly by the respondents. The findings supported the belief that telephone counselling and referral has an important and unique place in rural health support and referral.
- Description: C1
- Description: 2003000949
- Authors: Watson, Robert , McDonald, John
- Date: 2004
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 10, no. 2 (2004), p. 97-103
- Full Text:
- Reviewed:
- Description: A telephone survey was used to examine rural residents' (n=102) perceptions and knowledge of a well-established national telephone counselling and referral service-Lifeline. Residents in rural Australia experience generally poorer access and availability to health-related services than their metropolitan counterparts. They may also have problems with confidentiality and stigmatisation in using what services are available in their area. Although this was a non-comparative study, it was reasoned that these barriers to help-seeking in rural areas would mean their population would know and value a service such as Lifeline, which provides equitable and anonymous support and referrals to all Australians. The results showed that the service was known, valued, and supported strongly by the respondents. The findings supported the belief that telephone counselling and referral has an important and unique place in rural health support and referral.
- Description: C1
- Description: 2003000949